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Individual

MACKENZIE DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(606) 407-1639
Mailing address
130 CHANDLER DR, DANVILLE, KY 40422-8449

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
244900
KY

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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